HomeMy WebLinkAboutPermit Sidewalk 2009-10-14
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Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2009-01510
ISSVED: 10/14/2009
APPLIED: 10/14/2009
EXPIRES: 04/1412010
VALUE:
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
541-726-3676 Fax
54]-726-3769 Inspectiou Liue
/
SITE ADDRESS: ]42] LA WNRIDGE AVE
ASSESSOR'S PARCEL NO.: 1703252206500
Springfield TYPE OF WORK: Sidewalk
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: City Sidewalk repair
Owner: MOONEY FRED D & RUBY D
Address: ]42] LA WNRIDGE
SPRINGFIELD OR 97477
I ~ONTRACTOR INFORMATION I
Contractor Type
General
Contractor
ROGGE
License
Expiration Date Phone
1 ,BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Coustruction Type
Secoudary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft ]st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other: .
Occupaut Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
'(~t>S~'(me-009-~ Sf JelueO
Ilnl1'D"'I1I"....... t~Jf}'l . - - ...
{ eU04aale'194i':el;N)TIiMIIM~i~%MENTS I
lIq selnJ e4Ho S91doo Ule!' 'to'
Street Improvement.;OO.~S6!:/\fO 116noJII" qo I11W nOA "0600
, lllJ ..... 0 ~Oo- ~Oo-~S6 !:/\fO UI
Storm Sewer A vaiIa')(e?lleS 9J11 selllJ esoLU "JeIUeO UOneOUllON '
Special Instruction: ~!J!1n J06eJO e41 ,{q PSldoP11 S9JnJ MO;/OI
I no seJfnb9J MIll U069JO :NOllN3lJ.\f NOTICE:
Notes: THIS PERMIT SHALL EXPIRE IF THE WORK
^IITunol.?cr\ llA.lf'\rn Till..... ..............ft..f.- .._~_
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I Valuation Descri~t'ih"i\fl.I:NCED OR IS ABANDONED FOR
, 'n.' ,vO DAY PERIOD,
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Frontyard Setback:
Side] Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspoutsffirains:
Description
Type of Construction
Value
Date Calculated
Paee 1 of 2
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01S10
ISSVED: 10/14/2009
APPLIED: 10/14/2009
EXPIRES: 04/14/2010
VALVE:
225 Fifth Street, Springfield, OR
54]-726-3753 Phoue
54] -726-3676 Fax
54]-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
Amount Paid
Date Paid
Receipt Number
Total Amount Paid
$0.00
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m, will be made the following
work day.
I Reouired Tnsnecriom I
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
iuformation hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Buildiug Safety.
I further certify that only contractors aud employees who are in compliauce with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, tha.t each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remaiu on the site at all
times during construction.
~ ~ Ock ,g-, 0("
Owner or Contractors Signa~re Date
Paee 2 on
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,~./" :.",; DRIVEWAY/SIDEWALK', :.;,':' ~.:' 'PERMITAPPLlCATION. ,,' ',>,'~)r;J
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
ENGINEERING DIVISION
OFFICE TELEPHONE (503) 726-3753
.PR.:Q=Q~
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10.. "L '?= '1
PERMIT NUMBER:
DATE ISSUED: /0- 1</- ?~
APPLICATION DATE:
SITE INFORMATION:
LOCA nON OF V:/ORK:
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eo c. t;r,:=
!-I-""""L"D>.-J
DR...
PHONE
tLll- rel's-i
-
APPLICANT / Drv\,
ADDAESS. I 'J '1-~
arY, S\i>;::t:,
SUBDIVISION:
OWNER:
ADDRESS:
TAX MAP:
STATE:
71P:
"\~'-\T-1
TAX lOT:
PHONE:
CITY.
~TATE:
ZIP:
REOUESTED PERMITS:
o SIDEWALK: ........,........"
MiOUNT OF SIDEWALK IN EXCESS OF 90FT.
121' SIDEWALK REPAIR:....
o CURB CUT/DRIVEWAY: NUMBER OF DRIVEWAYS_ X.................. $88,00 1 5t Cut ~ $
.................., $88,00 ...................,..... ~ $
@$O,oB SF. ~ $
,$15,50 ............, ~ $
o MULTIPLE PERMIT DISCOUNT EA ..,.. ..,(MAX 2) ,......,$30,00 2nd Cut ~$_(.
(MULTI PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECTION ~
APPUES TO 2nd ANO 3rd PERMITS ONLY, NOT SIOEWALK REPAJRl =$
o 5% Technology Fee $ TOTAL DUE WI1H PERMIT $
o PROOF OF INSURANCE, $500,000 MINIMUM IF WORK IS DONE BY PROPERTYOWNER
CONTRACTOR INFORMATION:
CONTRACTOR:
ADDRESS:
CONTRACTOR REGISmA nON NO;
PROJECT SUPERVISOR:
PHONE:
EXPIRATION DATE:
PHONE:
INSPECTIONS:
AN INSPECTION REQUEST SHOULD BE MADE PRIOR TO POURING CONCRETE, AFTER THE PROPOSED WORK HAS BEEN FO AMED AND MADE READY TO
POUR. CURB CUT AND SIDEWALK INSPECTIONS CAlL 726-3769 (RECORDER) STATE YOUR DESIGINATED CITY JOB
NUMBER/PERMIT NUMBER, JOB ADDRESS, TYPE OF INSPECTION REOUESTED, AND VVi-iEN YOU WILL BE READY FOR INS PECTlON, CONTRACTOR'S OR
OWNER'S NAME AND PHONE NUMBER. 'REOUESTS RECEIVED BEFORE 7:00 A.M. WILL BE MADE THE
SAME OAY, REQUESTS AFTER 7:00 A.M. WLL BE MADE THE NEXT WORKING DAY. INSPECTIONS ARE TO BE CAllED !N.
AFTER EXCAVAl1qNS ARE MADE AND FORM WORK IS IN PLACE BUT PRIOR T~ POURlN9 CONCRETE.
YOU ARE REqUIRED TO CALL
THE LANE UTILITIES COORDINATING COUNCIL'S
"ONE CALL NUMBER" 1-800-332-2344'
48 HOURS BEFORE DIGGING
SIGNATURE:
mOUNT RECEIVED:
RECEIPT NO:
,-0--
DATE PAID:
RECEIVED BY:
By signaturell Slale and agee. lhatl have carefully C)(8mined !he canpleted apptication and do he leby certify thai 51 information hecein is lrue
and correcl and _furthec cerlifY that any and all workRenormed shaH be dene In aCCOfdance with lhe Ordinances at .
!he aIY of Springheld, applicable City Standard speCIfications and Dra".,.;.f\Qs, and lhe laws of the Slale 01 Oregon perlaining 10 the work described herein. I tur1her
certify lhal,only contractors and employees who are in cClTlpliance V\IIth ORS 701.055 will be used
on thisprO)ed. . ,
The City may ir1Sp8Cllhe work s~e described in this permit at_any lime during a ene year period fo nCMing the receipl by the City 01 notice 01 ccm~eliOO of the
desCf)bed work ana s~ly. al the City's sole diSCIefion any addiliooal_restoralicn v.ork feqUlred to return Ih,e site 10 a standard accep'!able to lhe Cl . The
perffilnee will be nOlified in wrjling 01 any WOl1<. reouired Bnd will have thlr1y days (30) Irom the dale of the nOllce 10 complele Ihe wOfk Work not com eled at the end
01 llle thirty days will be perl()(med by the City and the COSIS wiD be billed 10 tlie permittee. . '.
Ilurther agree to ensure that alllequired inspecliens lYe requesred.lll the propel" time. thaI ploj eel ado-ess is readable from Ihe
slreel. and the approved set 01 plans >MIl remain en lhe sile at alllirnes during conslluc~on. '-
Signature
Date